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Individual

DR. ROBERT ANTHONY DISTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1425 NEW BURTON RD, DOVER, DE 19904-5462
(302) 505-5767
Mailing address
1425 NEW BURTON RD, DOVER, DE 19904-5462
(302) 505-5767

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F1-0000935
DE
111NN1001X
Nutrition Chiropractor
CHIR008604
GA

Other

Enumeration date
09/25/2014
Last updated
01/16/2024
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